This article focuses on state efforts to coordinate care for “dual eligiblesâ€â€”Americans covered by both Medicare and Medicaid—within an integrated plan. The study revealed that (1) most beneficiaries currently receive Medicare and Medicaid benefits separately through...

Testimony for the U.S. House of Representatives, Committee on Energy and Commerce, Health Subcommittee.

Testimony for the U.S. House of Representatives, Committee on Energy and Commerce, Health Subcommittee.

Understanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. This report, based on interviews with both national and regional managed care firms, provides an in-depth look at how plans have managed their M+C outpatient pharmacy benefits in...

Despite the growth of managed care in the United States, there is little information about the arrangements managed-care plans make with physicians.

This article examines factors influencing the adoption and meaningful use of health information technology, as well as outstanding challenges to the long-term success of the Health Information Technology for Economic and Clinical Health (HITECH) provisions in the American Recovery and...

Suggests that local forces may explain why the Medicare managed care market has not developed as the optimists predicted.

Suggests that local forces may explain why the Medicare managed care market has not developed as the optimists predicted.

Looks at the characteristics and responsibilities of organizations that mediate risk and care management responsibility between managed care organizations and individual providers, finding that some are experiencing serious financial problems.